Five people have been taken to hospital after a serious crash in Washington.
The incident happened on the A1231 eastbound just before the Barmston turnoff at around 7:27am on Sunday. A car hit a lampost, and shortly afterwards a second car crashed into an ambulance which had stopped at the scene.
Four people have been taken to the Sunderland Royal infirmary, and one person has been admitted to the Queen Elizabeth Hospital in Gateshead.
The road has been closed between the A182 and the A195, and is expected to remain shut for several hours.
Any witnesses to the crash are being asked to contact Northumbria Police on 101.